Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tiffany Gray Moon, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1467971325

Tiffany Gray Moon, WHNP-BC is a Nurse Practitioner in Plymouth, North Carolina. Qualified in 2016, 10 years ago. Practices with Vidant Medical Group LLC, a 974-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
10
Licensed in
NC
In the registry since
2017

Practice location Address checks out

198 Nc Highway 45 N
Plymouth, NC 27962-9232
Phone: (252) 791-3119
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 5009694 (NC)

Record details

NPI number1467971325
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedSeptember 12, 2017
Last updated in NPPESMay 11, 2020
Certification dateMay 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Vidant Medical Group Llc — 974 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plymouth